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West Virginia rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.57 / $1,400.00 / $1,831.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.32 / $1,246.63 / $1,976.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.78 / $1,286.35 / $1,545.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.77 / $1,373.40 / $1,373.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.78 / $1,370.78 / $1,370.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.28 / $1,783.90 / $3,795.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.17 / $1,464.72 / $2,054.73